NSG 3100 Verified Multiple Choice and
Conceptual Actual Emended Exam Questions
With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. During shift report, the nurse learns that an older female client is unable to
maintain continence after she senses the urge to void and becomes
incontinent on the way to the bathroom. Which nursing diagnosis is most
appropriate?
a) Stress Urinary Incontinence
b) Reflex Urinary Incontinence
c) Functional Urinary Incontinence
d) Urge Urinary Incontinence - ANSWER Answer: D. Rationale: The key
phrase is "the urge to void." Option 1 occurs when the client coughs,
sneezes, or jars the body, resulting in accidental loss of urine. Option 2
occurs with involuntary loss of urine at somewhat predictable intervals
when a specific bladder volume is reached. Option 3 is involuntary loss of
urine related to impaired function. Cognitive Level: Applying. Client Need:
Physiological Integrity. Nursing Process: Diagnosis. Learning Outcome: 48-6.
2. A nurse enters the room of a client on contact precautions. Which PPE is
required?
A. Gloves only
B. Gloves and gown
C. Gloves, gown, and mask
D. Gloves, gown, mask, and goggles
Answer: B
,3. A female client has a urinary tract infection (UTI). Which teaching points by
the nurse would be helpful to the client? Select all that apply.
a. Limit fluids to avoid the burning sensation on urination.
b. Review symptoms of UTI with the client.
c. Wipe the perineal area from back to front.
d. Wear cotton underclothes.
e. Take baths rather than showers. - ANSWER Answer: B and D.
Rationale: Option 2 validates the diagnosis. Cotton underwear
promotes appropriate exposure to air, resulting in decreased
bacterial growth (option 4). Increased fluids decrease concentration
and irritation (option 1). The client should wipe the perineal area
from front to back to prevent spread of bacteria from the rectal area
to the urethra (option 3). Showers reduce exposure of area to
bacteria (option 5). Cognitive Level: Applying. Client Need: Health
Promotion and Maintenance. Nursing Process: Implementation.
Learning Outcome: 48-7.
4. The nurse will need to assess the client's performance of clean intermittent
self-catheterization (CISC) for a client with which urinary diversion?
a. Ileal conduit
b. Kock pouch
c. Neobladder
d. Vesicostomy - ANSWER Answer: B. Rationale: The ileal conduit
and vesicostomy (options 1 and 4) are incontinent urinary diversions,
and clients are required to use an external ostomy appliance to
contain the urine. Clients with a neobladder can control their voiding
(option 3). Cognitive Level: Analyzing. Client Need: Health Promotion
and Maintenance. Nursing Process: Assessment. Learning Outcome:
48-9.
,5. Which focus is the nurse most likely to teach for a client with a flaccid
bladder?
a. Habit training: Attempt voiding at specific time periods.
b. Bladder training: Delay voiding according to a preschedule timetable.
c. Credé's maneuver: Apply gentle manual pressure to the lower
abdomen.
d. Kegel exercises: Contract the pelvic muscles. - ANSWER Answer:
C. Rationale: Because the bladder muscles will not contract to
increase the intrabladder pressure to promote urination, the process
is initiated manually. Options 1, 2, and 4: To promote continence,
bladder contractions are required for habit training, bladder training,
and increasing the tone of the pelvic muscles. Cognitive Level:
Applying. Client Need: Physiological Integrity. Nursing Process:
Implementation. Learning Outcome: 48-9.
6. Which of the following behaviors indicates that the client on a bladder
training program has met the expected outcomes? Select all that apply.
a. Voids each time there is an urge.
b. Practices slow, deep breathing until the urge decreases.
c. Uses adult diapers, for "just in case."
d. Drinks citrus juices and carbonated beverages.
e. Performs pelvic muscle exercises. - ANSWER Answer: B and E.
Rationale: It is important for the client to inhibit the urge-to-void
sensation when a premature urge is experienced. Some clients may
need diapers; this is not the BEST indicator of a successful program
(option 3). Citrus juices may irritate the bladder (option 4).
Carbonated beverages increase diuresis and the risk of incontinence
(option 4). Cognitive Level: Applying. Client Need: Health Promotion
and Maintenance. Nursing Process: Evaluation. Learning Outcome:
48-6.
, 7. Clients should be taught that repeatedly ignoring the sensation of needing to
defecate could result in which of the following?
1. Constipation
2. Diarrhea
3. Incontinence
4. Hemorrhoids - ANSWER Answer: 1. Rationale: Habitually ignoring the urge
to defecate can lead to constipation through loss of the natural urge and the
accumulation of feces. Diarrhea will not result—if anything, there is increased
opportunity for water reabsorption because the stool remains in the colon,
leading to firmer stool (option 2). Ignoring the urge shows a strong voluntary
sphincter, not a weak one that could result in incontinence (option 3).
Hemorrhoids would occur only if severe drying out of the stool occurs and, thus,
repeated need to strain to pass stool (option 4). Cognitive Level: Understanding.
Client Need: Physiological Integrity. Nursing Process: Implementation. Learning
Outcome: 49-1.
8. Which statement provides evidence that an older adult who is prone to
constipation is in need of further teaching?
1. "I need to drink one and a half to two quarts of liquid each day."
2. "I need to take a laxative such as Milk of Magnesia if I don't have a BM every
day."
3. "If my bowel pattern changes on its own, I should call you."
4. "Eating my meals at regular times is likely to result in regular bowel
movements." - ANSWER Answer: 2. Rationale: The standard of practice in
assisting older adults to maintain normal function of the gastrointestinal tract is
regular ingestion of a well-balanced diet, adequate fluid intake, and regular
exercise. If the bowel pattern is not regular with these activities, this abnormality
should be reported. Stimulant laxatives can be very irritating and are not the
Conceptual Actual Emended Exam Questions
With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. During shift report, the nurse learns that an older female client is unable to
maintain continence after she senses the urge to void and becomes
incontinent on the way to the bathroom. Which nursing diagnosis is most
appropriate?
a) Stress Urinary Incontinence
b) Reflex Urinary Incontinence
c) Functional Urinary Incontinence
d) Urge Urinary Incontinence - ANSWER Answer: D. Rationale: The key
phrase is "the urge to void." Option 1 occurs when the client coughs,
sneezes, or jars the body, resulting in accidental loss of urine. Option 2
occurs with involuntary loss of urine at somewhat predictable intervals
when a specific bladder volume is reached. Option 3 is involuntary loss of
urine related to impaired function. Cognitive Level: Applying. Client Need:
Physiological Integrity. Nursing Process: Diagnosis. Learning Outcome: 48-6.
2. A nurse enters the room of a client on contact precautions. Which PPE is
required?
A. Gloves only
B. Gloves and gown
C. Gloves, gown, and mask
D. Gloves, gown, mask, and goggles
Answer: B
,3. A female client has a urinary tract infection (UTI). Which teaching points by
the nurse would be helpful to the client? Select all that apply.
a. Limit fluids to avoid the burning sensation on urination.
b. Review symptoms of UTI with the client.
c. Wipe the perineal area from back to front.
d. Wear cotton underclothes.
e. Take baths rather than showers. - ANSWER Answer: B and D.
Rationale: Option 2 validates the diagnosis. Cotton underwear
promotes appropriate exposure to air, resulting in decreased
bacterial growth (option 4). Increased fluids decrease concentration
and irritation (option 1). The client should wipe the perineal area
from front to back to prevent spread of bacteria from the rectal area
to the urethra (option 3). Showers reduce exposure of area to
bacteria (option 5). Cognitive Level: Applying. Client Need: Health
Promotion and Maintenance. Nursing Process: Implementation.
Learning Outcome: 48-7.
4. The nurse will need to assess the client's performance of clean intermittent
self-catheterization (CISC) for a client with which urinary diversion?
a. Ileal conduit
b. Kock pouch
c. Neobladder
d. Vesicostomy - ANSWER Answer: B. Rationale: The ileal conduit
and vesicostomy (options 1 and 4) are incontinent urinary diversions,
and clients are required to use an external ostomy appliance to
contain the urine. Clients with a neobladder can control their voiding
(option 3). Cognitive Level: Analyzing. Client Need: Health Promotion
and Maintenance. Nursing Process: Assessment. Learning Outcome:
48-9.
,5. Which focus is the nurse most likely to teach for a client with a flaccid
bladder?
a. Habit training: Attempt voiding at specific time periods.
b. Bladder training: Delay voiding according to a preschedule timetable.
c. Credé's maneuver: Apply gentle manual pressure to the lower
abdomen.
d. Kegel exercises: Contract the pelvic muscles. - ANSWER Answer:
C. Rationale: Because the bladder muscles will not contract to
increase the intrabladder pressure to promote urination, the process
is initiated manually. Options 1, 2, and 4: To promote continence,
bladder contractions are required for habit training, bladder training,
and increasing the tone of the pelvic muscles. Cognitive Level:
Applying. Client Need: Physiological Integrity. Nursing Process:
Implementation. Learning Outcome: 48-9.
6. Which of the following behaviors indicates that the client on a bladder
training program has met the expected outcomes? Select all that apply.
a. Voids each time there is an urge.
b. Practices slow, deep breathing until the urge decreases.
c. Uses adult diapers, for "just in case."
d. Drinks citrus juices and carbonated beverages.
e. Performs pelvic muscle exercises. - ANSWER Answer: B and E.
Rationale: It is important for the client to inhibit the urge-to-void
sensation when a premature urge is experienced. Some clients may
need diapers; this is not the BEST indicator of a successful program
(option 3). Citrus juices may irritate the bladder (option 4).
Carbonated beverages increase diuresis and the risk of incontinence
(option 4). Cognitive Level: Applying. Client Need: Health Promotion
and Maintenance. Nursing Process: Evaluation. Learning Outcome:
48-6.
, 7. Clients should be taught that repeatedly ignoring the sensation of needing to
defecate could result in which of the following?
1. Constipation
2. Diarrhea
3. Incontinence
4. Hemorrhoids - ANSWER Answer: 1. Rationale: Habitually ignoring the urge
to defecate can lead to constipation through loss of the natural urge and the
accumulation of feces. Diarrhea will not result—if anything, there is increased
opportunity for water reabsorption because the stool remains in the colon,
leading to firmer stool (option 2). Ignoring the urge shows a strong voluntary
sphincter, not a weak one that could result in incontinence (option 3).
Hemorrhoids would occur only if severe drying out of the stool occurs and, thus,
repeated need to strain to pass stool (option 4). Cognitive Level: Understanding.
Client Need: Physiological Integrity. Nursing Process: Implementation. Learning
Outcome: 49-1.
8. Which statement provides evidence that an older adult who is prone to
constipation is in need of further teaching?
1. "I need to drink one and a half to two quarts of liquid each day."
2. "I need to take a laxative such as Milk of Magnesia if I don't have a BM every
day."
3. "If my bowel pattern changes on its own, I should call you."
4. "Eating my meals at regular times is likely to result in regular bowel
movements." - ANSWER Answer: 2. Rationale: The standard of practice in
assisting older adults to maintain normal function of the gastrointestinal tract is
regular ingestion of a well-balanced diet, adequate fluid intake, and regular
exercise. If the bowel pattern is not regular with these activities, this abnormality
should be reported. Stimulant laxatives can be very irritating and are not the
